Basilar tip thromboembolism

Discussion:

Typical appearances of a basilar tip thromboembolism. Despite endovascular thrombolysis and attempted clot retrieval (which was moderately angiographically effective (not shown)), the patient did not recover consciousness and developed extensive infarction, and eventually passed away. 

Note: Top of basilar occlusion is usually embolic, whereas mid-basilar occlusion is usually the result of in situ thrombosis as a result of atherosclerotic plaque complication. 

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